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More recently, he has investigated the immune activities of HMGB1, a nuclear protein with alarmin activity, as well as microparticles. He was focusing on the pathogenesis of systemic lupus erythematosus (SLE) and the immunological properties of nuclear macromolecules, including DNA.

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He has conducted basic and translational research in the field of autoimmunity. He served as Chief of Rheumatology and Immunology at Duke from 2003-2008.

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